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MR. STACEY R BOYLES

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1083281000

Individual Registrant:
MR. STACEY R BOYLES 
Gender: M
Sole Proprietor

Location and contact information for practice:
1702 KIRKWOOD HWY STE 101  ELSMERE, DE 19805-4939 US
Tel: 302-507-1075  Fax: --

Contact information for business:
1702 KIRKWOOD HWY STE 101  ELSMERE, DE 19805-4939 US
Tel: 302-777-0778  Fax: --

Registration Information:
NPI: 1083281000
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
DEMT-0004819

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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